Debra D Mort
ExpiredCalifornia license 629912
License
- Licensed by
- California Board of Registered Nursing
- License number
- 629912
- Status
- Expired (Delinquent)
- First issued
- December 9, 2003
- Expired
- September 30, 2007
- License holder
- Debra D Mort
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1968 W Ridgemont Ave
Hayden, ID 83835
Hayden, ID 83835
Kootenai County